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Low serum concentrations of the amino acid homoarginine (HA) are associated with increased cardiovascular mortality by incompletely understood mechanisms. This study sought to assess the influence of HA on cardiac remodeling in rats undergoing either transaortic banding or inhibition of nitric oxide synthesis by Nω-Nitro-L-arginine methyl ester hydrochloride (L-NAME). Male Wistar rats (n = 136) underwent sham operation (SH) or aortic banding (AB). Both groups were equally divided into 14 subgroups, receiving different doses of HA alone or in combination with lisinopril, spironolactone, or L-NAME for 4 weeks. HA treatment in AB animals resulted in a dose-dependent improvement of cardiac function up to a concentration of 800 mg·kg−1·day−1. Combining 800 mg·kg−1·day−1 HA with spironolactone or lisinopril yielded additional effects, showing a positive correlation with LV ejection fraction (+33%, p = 0.0002) and fractional shortening (+41%, p = 0.0014). An inverse association was observed with collagen area fraction (−41%, p < 0.0001), myocyte cross-sectional area (−22%, p < 0.0001) and the molecular markers atrial natriuretic factor (−74%, p = 0.0091), brain natriuretic peptide (−42%, p = 0.0298), beta-myosin heavy chain (−46%, p = 0.0411), and collagen type V alpha 1 chain (−73%, p = 0.0257) compared to placebo-treated AB animals. Co-administration of HA and L-NAME was found to attenuate cardiac remodeling and prevent NO-deficient hypertension following AB. HA treatment has led to a dose-dependent improvement of myocardial function and marked histological and molecular changes in cardiac remodeling following AB. Combining HA with standard heart failure medication resulted in additional beneficial effects boosting its direct impact on heart failure pathophysiology.
Purpose: To assess the diagnostic precision of three different workstations for measuring thoracic aortic aneurysms (TAAs) in vivo and ex vivo using either pre-interventional computed tomography angiography scans (CTA) or a specifically designed phantom model.
Methods: This retrospective study included 23 patients with confirmed TAA on routinely performed CTAs. In addition to phantom tube diameters, one experienced blinded radiologist evaluated the dimensions of TAAs on three different workstations in two separate rounds. Precision was assessed by calculating measurement errors. In addition, correlation analysis was performed using Pearson correlation.
Results: Measurements acquired at the Siemens workstation deviated by 3.54% (range, 2.78–4.03%; p = 0.14) from the true size, those at General Electric by 4.05% (range, 1.46–7.09%; p < 0.0001), and at TeraRecon by 4.86% (range, 3.22–6.45%; p < 0.0001). Accordingly, Siemens provided the most precise workstation at simultaneously most fluctuating values (scattering of 4.46%). TeraRecon had the smallest fluctuation (scattering of 2.83%), but the largest deviation from the true size of the phantom. The workstation from General Electric showed a scattering of 2.94%. The highest overall correlation between the 1st and 2nd rounds was observed with measurements from Siemens (r = 0.898), followed by TeraRecon (r = 0.799), and General Electric (r = 0.703). Repetition of measurements reduced processing times by 40% when using General Electric, by 20% with Siemens, and by 18% with TeraRecon.
Conclusions: In conclusion, all three workstations facilitated precise assessment of dimensions in the majority of cases at simultaneously high reproducibility, ensuring accurate pre-interventional planning of thoracic endovascular aortic repair.
Objectives: To determine the diagnostic accuracy of dual-energy CT (DECT) virtual noncalcium (VNCa) reconstructions for assessing thoracic disk herniation compared to standard grayscale CT. Methods: In this retrospective study, 87 patients (1131 intervertebral disks; mean age, 66 years; 47 women) who underwent third-generation dual-source DECT and 3.0-T MRI within 3 weeks between November 2016 and April 2020 were included. Five blinded radiologists analyzed standard DECT and color-coded VNCa images after a time interval of 8 weeks for the presence and degree of thoracic disk herniation and spinal nerve root impingement. Consensus reading of independently evaluated MRI series served as the reference standard, assessed by two separate experienced readers. Additionally, image ratings were carried out by using 5-point Likert scales. Results: MRI revealed a total of 133 herniated thoracic disks. Color-coded VNCa images yielded higher overall sensitivity (624/665 [94%; 95% CI, 0.89–0.96] vs 485/665 [73%; 95% CI, 0.67–0.80]), specificity (4775/4990 [96%; 95% CI, 0.90–0.98] vs 4066/4990 [82%; 95% CI, 0.79–0.84]), and accuracy (5399/5655 [96%; 95% CI, 0.93–0.98] vs 4551/5655 [81%; 95% CI, 0.74–0.86]) for the assessment of thoracic disk herniation compared to standard CT (all p < .001). Interrater agreement was excellent for VNCa and fair for standard CT (ϰ = 0.82 vs 0.37; p < .001). In addition, VNCa imaging achieved higher scores regarding diagnostic confidence, image quality, and noise compared to standard CT (all p < .001). Conclusions: Color-coded VNCa imaging yielded substantially higher diagnostic accuracy and confidence for assessing thoracic disk herniation compared to standard CT.
Quarkyonic or baryquark matter? On the dynamical generation of momentum space shell structure
(2023)
We study the equation of state of a mixture of (quasi-)free constituent quarks and nucleons with hard-core repulsion at zero temperature. Two opposite scenarios for the realization of the Pauli exclusion principle are considered: (i) a Fermi sea of quarks surrounded by a shell of baryons – the quarkyonic matter, and (ii) a Fermi sea of nucleons surrounded by a shell of quarks which we call baryquark matter. In both scenarios, the sizes of the Fermi sea and shell are fixed through energy minimization at fixed baryon number density. While both cases yield a qualitatively similar transition from hadronic to quark matter, we find that baryquark matter is energetically favored in this setup and yields a physically acceptable behavior of the speed of sound without the need to introduce an infrared regulator. In order to retain the theoretically more appealing quarkyonic matter as the preferred form of dense QCD matter will thus require modifications to the existing dynamical generation mechanisms, such as, for example, the introduction of momentum-dependent nuclear interactions.
Einleitung: Empathie ist ein entscheidender Faktor mit direktem Bezug auf das therapeutische Outcome in der Arzt-Patienten Beziehung. Die Ausbildung junger Mediziner:innen ist jedoch sehr fachlich orientiert, soziale Fähigkeiten werden nur in geringem Ausmaß gelehrt. Am Fachbereich Medizin der Goethe Universität Frankfurt wurden Simulationspatient:innen (SPs) bisher hauptsächlich in Prüfungen eingesetzt, nicht aber in der Lehre. Die vorliegende Arbeit beschäftigt sich mit der Fragestellung, ob der Einsatz von SPs in der curricularen Lehre im Fach Chirurgie zur Vermittlung von strukturierten chirurgischen Anamnese- und Aufklärungsgesprächen umsetzbar ist, ob dieses einen Einfluss auf das empathische Verhalten der Studierenden hat, und ob es bei der gezeigten Empathie einen Unterschied zwischen SPs und reale Patient:innen (RPs) gibt. Zusätzlich wird untersucht, ob der Einsatz von SPs einen Einfluss auf den Lernerfolg in kommunikationsbasierten Prüfungen hat.
Methoden: Studienteilnehmende waren Studierende im 3. klinischen Semester am Fachbereich Medizin der Goethe Universität, die aktuell ihr curriculares Blockpraktikum Chirurgie absolvierten. Im Rahmen des Blockpraktikums Chirurgie durchliefen die Studierenden das ‚Training Praktischer Fertigkeiten‘ und hierbei das Modul ‚Kommunikation (Anamnese und Aufklärung)‘. Das Modul dauerte insgesamt 210 Minuten und setzte sich aus theoretischen Einheiten sowie praktischen Übungen (Rollenspielen) zusammen. Die Studienteilnehmenden wurden in 3 Studiengruppen randomisiert. Alle Teilnehmenden füllten zunächst zwei Fragebögen zum selbsteingeschätzten Empathielevel aus und lernten die identischen theoretischen Inhalte des Moduls. In den Rollenspielen trainierte Gruppe 1 mit SPs und wusste auch, dass es sich um SPs handelt. Gruppe 2 übte ebenfalls mit SPs, ging aber davon aus, dass es sich um reale Patient:innen handelte (Inkognito Patient:innen = IPs), Gruppe 3 übte mit RPs und war auch darüber informiert. Im Anschluss wurden die Studierenden anhand eines 10-Items Fragebogen in Hinblick auf die gezeigte Empathie durch die (Simulations-)-Patient:innen bewertet. Der Lernerfolg wurde anhand der Ergebnisse des Chirurgie-OSCE’s, den die Teilnehmenden 5-12 Wochen nach dem Modul absolvierten, ausgewertet.
Ergebnisse: Es zeigten sich signifikante Unterschiede bei dem vom Patienten wahrgenommenen Empathielevel zwischen Gruppe 1 (SP) und 2 (IP) und 1 (SP) und 3 (RP), nicht aber zwischen Gruppe 2 (IP) und 3 (RP). In dieser Konstellation wurden Studierende, welche mit RPs übten oder zumindest davon ausgingen, signifikant weniger empathisch bewertet. Es zeigten sich signifikante Unterschiede in der Eigeneinschätzung zwischen Männern und Frauen, nicht aber in der Fremdeinschätzung. Es gab keine signifikanten Unterschiede in den Ergebnissen der kommunikationsbasierenden Stationen der Chirurgie-OSCE zwischen den einzelnen Gruppen.
Schlussfolgerung: Der Einsatz von SPs im Hinblick auf den Lernerfolg in kommunikationsbasierenden Prüfungen ist gerechtfertigt und eine gute Möglichkeit, um Studierenden das Üben von Gesprächssituationen realistisch zu ermöglichen, ohne dabei akut klinische Patient:innen rekrutieren zu müssen. Dabei muss aber beachtet werden, dass das empathische Verhalten der Studierenden ein anderes ist, wenn sie mit RPs arbeiten, beziehungsweise davon ausgehen, mit einem RP zu arbeiten. Zur Förderung der Empathie sollten RPs und Feedback durch diese früh in die studentische Lehre implementiert werden.
We review the composition and the equation of state of the hyperonic core of neutron stars at finite temperature within a relativistic mean-field approach. We make use of the new FSU2H∗ model, which is built upon the FSU2H scheme by improving on the Ξ potential according to the recent analysis on the Ξ atoms, and we extend it to include finite temperature corrections. The calculations are done for a wide range of densities, temperatures and charge fractions, thus exploring the different conditions that can be found in protoneutron stars, binary mergers remnants and supernovae explosions. The inclusion of hyperons has a strong effect on the composition and the equation of state at finite temperature, which consequently would lead to significant changes in the properties and evolution of hot neutron stars.
We present the novel finite-temperature FSU2H* equation-of-state model that covers a wide range of temperatures and lepton fractions for the conditions in proto-neutron stars, neutron star mergers and supernovae. The temperature effects on the thermodynamical observables and the composition of the neutron star core are stronger when the hyperonic degrees of freedom are considered. We pay a special attention to the temperature and density dependence of the thermal index in the presence of hyperons and conclude that the true thermal effects cannot be reproduced with the use of a constant Г law,
Einleitung: Die Bronchiolitis obliterans ist eine seltene Lungenerkrankung unterschiedlicher Ätiologie, die mit einer chronischen Entzündung der kleinen Atemwege einhergeht. Mit der Identifizierung von Kandidaten-miRNA sollen Biomarker evaluiert werden, die in der Diagnostik der postinfektiösen Bronchiolitis obliterans (PIBO) herangezogen werden sowie in Zukunft eine mögliche Therapieoption darstellen können.
Material und Methoden: 19 Patientinnen und Patienten mit PIBO sowie 18 gesunde Kontrollen wurden in die Studie eingeschlossen. Nach Komplettsequenzierung wurden die miRNA-Profile der Patienten mit den Profilen der alters- und geschlechtsadaptierten gesunden Kontrollgruppe verglichen. Als Nebenzielgrößen wurden die Lungenfunktion und Sputum-Biomarker erfasst.
Ergebnisse: Die Patientenkohorte wies signifikant niedrigere Werte in der Lungenfunktionsdiagnostik (Patienten, Median: FVC (%) 76,3***, FEV1 (%) 59,8***, FEV1/FVC 0,68***, FEF75 (%) 25,1***, *p<0,05, **p<0,01, ***p<0,001) sowie eine signifikante Erhöhung der neutrophilen Granulozyten und der proinflammatorischen Zytokine IL-1β, IL-6 und IL-8 in der Sputumanalyse auf (Patienten, Median: Neutrophile (%) 82,5***, IL-1β (pg/ml) 1453,0**, IL-6 (pg/ml) 825,6**, IL-8 (pg/ml) 35368,0***). Die Analyse der miRNA-Expression ergab insgesamt 40 unterschiedlich regulierte miRNAs (padj ≤ 0,05). 22 miRNAs waren in der Patientenkohorte vermehrt exprimiert, 18 miRNAs waren vermindert exprimiert. Die vier miRNAs mit pbonf < 0,05 wurden in der weiteren Analyse berücksichtigt. Die miRNAs hsa-let-7b-3p und hsa-miR-146a-3p waren signifikant vermehrt exprimiert, wohingegen die miRNAs hsa-miR-1287-5p und hsa-miR-27b-3p signifikant vermindert exprimiert waren. Die identifizierten miRNAs spielen unter anderem eine Rolle im TGF-β- und Hippo-Signalweg.
Schlussfolgerung: Die Ergebnisse zeigen, dass das miRNA-Expressionsmuster bei Patienten, die an postinfektiöser Bronchiolitis obliterans erkrankt sind, alteriert ist. Die identifizierten miRNAs sind relevante Biomarker und können als potentielle Ziele von miRNA-Therapeutika in Betracht gezogen werden.
Application of a developed tool to visualize newly synthesized AMPA receptor components in situ
(2018)
The information flow between neurons happens at contact points, the synapses. One underlying mechanism of learning and memory is the change in the strength of information flow in selected synapses. In order to match the huge demand in membranes and proteins to build and maintain the neurites' complex architecture, neurons use decentralized protein synthesis. Many candidate proteins for local synthesis are known, and the need of de novo synthesis for memory formation is well established. The underlying mechanisms of how somatic versus dendritic synthesis is regulated are yet to be elucidated. Which proteins are newly synthesized in order to allow learning?
In this thesis protein synthesis is studied in hippocampal neurons. The fractional distribution of somatic and dendritic synthesis for candidate proteins and their subsequent transport to their destination are investigated using a newly developed technique. In the first part of this study we describe the development of this technique and use it in the second part to answer biological questions.
We focus here on AMPA receptor subunits, the key players in fast excitatory transmission. AMPA receptors contain multiple subunits with diverse functions. It remains to be understood, when and where in a neuron these subunits come together to form a protein complex and how the choice of subunits is regulated.
The investigation of the subunits' site of synthesis and redistribution kinetics in this study will help us to understand how neurons are able to change their synaptic strength in an input specific manner which eventually allows learning and memory.
Key questions which are addressed in this study:
How can specific newly synthesized endogenous proteins be visualized in situ? What are the neuron's abilities to locally synthesize and fully assemble AMPA receptor complexes?
How fast do different AMPA receptor subunits redistribute within neurons after synthesis?
Background: Curcuminoids (curcumin, demethoxycurcumin, bis-demethoxycurcumin) are lipophilic polyphenols thought to be effective in the prevention and treatment of neurodegenerative disorders, of which mitochondrial dysfunction is a prominent feature. In particular, older people may thus benefit from increasing their curcuminoid intake. However until now, it is not investigated if there exist age differences in the bioavailability of curcuminoids and therefore, it is unclear if curcumin doses have to be adjusted to age. Thus, we explored if the tissue concentrations and biological activities of curcuminoids are affected by age.
Methods: We investigated age-differences in the bioavailability and tissue distribution of curcuminoids and mitochondrial function in 3- and 18-months old mice fed a control diet or identical diets fortified with 500 or 2000 mg curcuminoids/kg for 3 weeks. Therefore, we measured curcuminoid concentrations in plasma, liver, kidney, and brain, basal and stress-induced levels of adenosine triphosphate (ATP) and mitochondrial membrane potential (MMP) in dissociated brain cells and citrate synthase activity of isolated mitochondria.
Results: Plasma but not liver and kidney curcuminoid concentrations were significantly higher in older mice. Age did not affect ATP concentrations and MMP in dissociated brain cells. After damaging cells with nitrosative stress, dissociated brain cells from old mice had a higher MMP than cells from young animals and were therefore more resistant. Furthermore, this effect was enhanced by curcumin.
Conclusion: Our data suggest that age may affect plasma concentrations, but not the tissue distribution of curcuminoids in mice, but has little impact on mitochondrial function in brain cells.
Einleitung: OTSC Proctology ist ein Verfahren in der Analfistelchirurgie dessen Erfolgsaussichten auch 9 Jahre nach der ersten klinischen Anwendung nicht abschließend beurteilt werden können. Die wenigen bisher publizierten Studien zeigen sehr divergente Ergebnisse mit Heilungsraten von 10 bis 90%.
Material und Methoden: Wir führten eine retrospektive Auswertung der Behandlungsergebnisse aller konsekutiven Patienten, die in dem Zeitraum vom 01.03.2014 bis 31.03.2017 in der koloproktologischen Abteilung der DKD Helios Klinik Wiesbaden mittels OTSC-Verfahren wegen Analfisteln operiert wurden, durch. Erfasst wurden Alter, Geschlecht, OP- und Aufenthaltsdauer, Operateur, Fistelart und –lokalisation, Vorhandensein von Stoma und CED, plastischer Fistelverschluss (PFV) in der Anamnese, Clipverbleib nach der OP, Dauer des Follow-ups, Komplikationen sowie postoperative Schmerzsituation. Die Datenauswertung erfolgte mittels deskriptiver Statistik bei Subgruppenanalyse unter Verwendung der Statistiksoftware SPSS 20.
Ergebnisse: Es wurden insgesamt 68 Fälle eingeschlossen, davon 37% weiblich und 63% männlich. Das durchschnittliche Alter betrug 52 Jahre (25 – 81). 19 (28%) Patienten litten an CED, 11 (16%) Patienten hatten ein Stoma. 34 (50%) der Patienten hatten plastischen Fistelverschluss in der Anamnese. Die Verteilung nach Fisteltyp war wie folgt: 58 (85%) transsphinktär, 4 (6%) suprasphinktär, 3 (4%) intersphinktär, 1 (1,5%) rektovaginal, 1 (1,5%) rektourethral und 1 (1,5%) Pouchfistel. Die häufigsten Fistelokalisationen waren bei 6 h (N = 26, 38%), 12 h (N = 14, 21%), 7 h (N = 7, 10%) und 3h (N = 5, 7%) SSL. Die durchschnittlichen OP-Dauer und stationärer Aufenthalt betrugen 25 min (6 – 90) und 7 Tage (1 – 14 Tage) entsprechend. Die durchschnittliche Dauer des Follow-ups betrug 29 Monate (10 – 36).
Die Fistelheilung im Gesamtkollektiv lag bei 48,5%, 1 (1,5%) Patient war lost-tofollow-up. In der weiblichen (N = 25) und männlichen (N = 43) Kohorte fand die Heilung in 40% und 53% der Fälle entsprechend statt. Die Heilungsraten bei intersphinktären (N = 3), transsphinktären (N = 58) und suprasphinktären (N = 4) Fisteln lagen bei 100%, 46,5% und 50% entsprechend, eine rektovaginale und eine rektourethrale Fistel sind nicht geheilt. Eine Pouchfistel ist geheilt.
Die Heilungsraten bei 6h und 12h SSL lagen bei 58% und 14% entsprechend mit deutlichem Vorteil bei posteriorer Fistellage. Dieser Vorteil blieb nach der Aufteilung der Fisteln in anteriore (N = 30) und posteriore (N = 38), mit
Heilungsraten von 33% und 60,5% entsprechend, bestehen. In den Subgruppen ohne CED (N = 49) und mit CED (N = 19) lagen die Heilungsraten bei 53% und 35% entsprechend. In den Subgruppen ohne PFV (N = 34) und mit PFV (N = 34) lagen die Heilungsraten bei 59% und 38% entsprechend. In der Subgruppe ohne Stoma (N = 57) wurde eine Heilung in 47% der Fälle, in der Subgruppe mit Stoma (N = 11) in 55% beobachtet. In der Subgruppe mit den kryploglandulären Fisteln (N = 47) war die Heilung in 55,3% zu sehen und in der Subgruppe mit
kryptoglandulären Fisteln ohne PFV (N = 27) bei 63%.
In 48 (70,6%) Fällen wurde der Clip aktiv entfernt, in 11 (16,2%) Fällen kam es zum Spontanverlust und in 8 (11,8%) Fällen blieb der Clip in situ. Die durchschnittliche Zeit bis zur Klammerentfernung betrug 4 Monate. Die Heilungsraten bei Clipentfernung, Clipverbleib und Clipspontanabgang lagen bei 42%, 100% und 45% entsprechend.
Der maximale Schmerz nach NRS 0 – 2 bei 61% der Patienten, NRS 3 – 4 bei 28% und NRS 5 – 7 nur bei 11%. Bei 50% der Fälle war kein Opiat erforderlich und bei 39% der Fälle erfolgte die Opiateinnahme nicht länger als 2 Tage.
Die Komplikationen waren sehr selten: eine Nachblutung mit Clipdislokation (1,5%), ein Analabszess (1,5%), 2 Fälle (3%) der neuaufgetretenen Stuhlschmieren und 1 (1,5%) Wundheilungsstörung intraanal, die spontan abheilte. In 4 (6%) Fällen kam es zur Klammerdislokation vom inneren
Fistelostium mit konsekutiver Fistelpersistenz.
Fazit: OTSC ist ein komplikationsarmes und schmerzarmes Verfahren mit kurzer OP-Zeit und könnte einen festen Platz in der Analfistelchirurgie einnehmen. Die bestmöglichen Ergebnisse lassen sich bei dorsal gelegenen Analfisteln in
nichtvoroperierten Patienten ohne CED erzielen.
1. During the last century, the practice of fur farming in Europe led to the introduction of two mammal species from opposite ends of the world. With their subsequent unintentional escape from captivity or intentional releases, the process of slow expansion and establishment in Europe began. The raccoon Procyon lotor and the raccoon dog Nyctereutes procyonoides are included on the European Union’s list of invasive alien species.
2. We characterised the current climatic niches of the two species in their native ranges in North America and Asia, and compared them with their non-native-range niches in Europe, where we also projected climatic suitability. The aim was to locate suitable habitats beyond their current ranges and assess where a range expansion can be expected.
3. Niche comparison and the projection of climatic suitability in Europe were based on eight bioclimatic variables and presence records from the Global Biodiversity Information Facility database. For niche modelling, we applied the maximum entropy approach (Maxent) and used the native-range data for training.
4. Minimum temperature of the coldest month (bio06) was identified as the most important bioclimatic variable in the habitat suitability models for both species. Different tolerance levels regarding this variable might explain small differences between the species’ projected ranges, especially in the north and east of Europe. The high niche unfilling for both species in Europe suggests a potential for expansion beyond their present ranges.
5. With only little understanding of their ecological impacts in their new ranges, including the potential risk of Nyctereutes procyonoides as SARS-CoV-2 reservoir hosts, further research and management is required at various spatial scales in Europe.
The Kitaev material α-RuCl3 is among the most prominent candidates to host a quantum spin-liquid state endowed with fractionalized excitations. Recent experimental and theoretical investigations have separately revealed the importance of both the magnetoelastic coupling and the magnetic anisotropy, in dependence of the applied magnetic field direction. In this combined theoretical and experimental research, we investigate the anisotropic magnetic and magnetoelastic properties for magnetic fields applied along the main crystallographic axes as well as for fields canted out of the honeycomb plane. We found that the magnetostriction anisotropy is unusually large compared to the anisotropy of the magnetization, which is related to the strong magnetoelastic Γ′˜-type coupling in our \textit{ab-initio} derived model. We observed large, non-symmetric magnetic anisotropy for magnetic fields canted out of the honeycomb ab-plane in opposite directions, namely towards the +c∗ or −c∗ axes, respectively. The observed directional anisotropy is explained by considering the relative orientation of the magnetic field with respect to the co-aligned RuCl6 octahedra. Magnetostriction measurements in canted fields support this non-symmetric magnetic anisotropy, however these experiments are affected by magnetic torque effects. Comparison of theoretical predictions with experimental findings allow us to recognize the significant contribution of torque effects in experimental setups where α-RuCl3 is placed in canted magnetic fields.
Age-related diseases, such as osteoarthritis, Alzheimer’s disease, diabetes, and cardiovascular disease, are often associated with chronic unresolved inflammation. Neutrophils play central roles in this process by releasing tissue-degenerative proteases, such as cathepsin G, as well as pro-inflammatory leukotrienes produced by the 5-lipoxygenase (5-LO) pathway. Boswellic acids (BAs) are pentacyclic triterpene acids contained in the gum resin of the anti-inflammatory remedy frankincense that target cathepsin G and 5-LO in neutrophils, and might thus represent suitable leads for intervention with age-associated diseases that have a chronic inflammatory component. Here, we investigated whether, in addition to BAs, other triterpene acids from frankincense interfere with 5-LO and cathepsin G. We provide a comprehensive analysis of 17 natural tetra- or pentacyclic triterpene acids for suppression of 5-LO product synthesis in human neutrophils. These triterpene acids were also investigated for their direct interference with 5-LO and cathepsin G in cell-free assays. Furthermore, our studies were expanded to 10 semi-synthetic BA derivatives. Our data reveal that besides BAs, several tetra- and pentacyclic triterpene acids are effective or even superior inhibitors of 5-LO product formation in human neutrophils, and in parallel, inhibit cathepsin G. Their beneficial target profile may qualify triterpene acids as anti-inflammatory natural products and pharmacological leads for intervention with diseases related to aging.
The concept of using precipitation inhibitors (PIs) to sustain supersaturation is well established for amorphous formulations but less in the case of lipid-based formulations (LBF). This study applied a systematic in silico–in vitro–in vivo approach to assess the merits of incorporating PIs in supersaturated LBFs (sLBF) using the model drug venetoclax. sLBFs containing hydroxypropyl methylcellulose (HPMC), hydroxypropyl methylcellulose acetate succinate (HPMCAS), polyvinylpyrrolidone (PVP), PVP-co-vinyl acetate (PVP/VA), Pluronic F108, and Eudragit EPO were assessed in silico calculating a drug–excipient mixing enthalpy, in vitro using a PI solvent shift test, and finally, bioavailability was assessed in vivo in landrace pigs. The estimation of pure interaction enthalpies of the drug and the excipient was deemed useful in determining the most promising PIs for venetoclax. The sLBF alone (i.e., no PI present) displayed a high initial drug concentration in the aqueous phase during in vitro screening. sLBF with Pluronic F108 displayed the highest venetoclax concentration in the aqueous phase and sLBF with Eudragit EPO the lowest. In vivo, the sLBF alone showed the highest bioavailability of 26.3 ± 14.2%. Interestingly, a trend toward a decreasing bioavailability was observed for sLBF containing PIs, with PVP/VA being significantly lower compared to sLBF alone. In conclusion, the ability of a sLBF to generate supersaturated concentrations of venetoclax in vitro was translated into increased absorption in vivo. While in silico and in vitro PI screening suggested benefits in terms of prolonged supersaturation, the addition of a PI did not increase in vivo bioavailability. The findings of this study are of particular relevance to pre-clinical drug development, where the high in vivo exposure of venetoclax was achieved using a sLBF approach, and despite the perceived risk of drug precipitation from a sLBF, including a PI may not be merited in all cases.
This is the fourth article in our series Trouble on the Far-Right.
Terror from the extreme right has again gained a wider public attention in 2011 with the devastating attacks carried out by Anders Behring Breivik in Norway and the detection of the right-wing terrorist cell called “National Socialist Underground” (NSU), which had committed ten murders, three bombings and a dozen bank robberies during more than a decade of time in Germany. In many Western countries violence motivated by racism, anti-government hate, anti-Semitism or other aspects of right-wing extremism, appears to be a regular part of criminal activities. Hate crime legislation and statistics vary strongly but show that next to high intense terrorist attacks such as 9/11, the attacks in London, Madrid or Paris, right-wing violence and terrorism is the most dangerous politically motivated threat. In the United States for example Perliger (2012) counted 4,420 right-wing terrorist incidents between 1990 and 2012 causing 670 fatalities and 3,053 injuries. In Germany official statistics counted 69 right-wing attacks between 1990 and 2015 causing 75 casualties, while civil society watchdogs count up to 184 deaths. In Russia some experts speak of approximately 450 right-wing motivated killings between 2004 and 2010. Nevertheless, this specific form of political violence remains largely under-researched and misunderstood as non-terroristic. In consequence the threat from the far right is continuously downplayed with severe consequences for victims and the internal security.
Na,K-ATPase mediates net electrogenic transport by extruding three Na+ ions and importing two K+ ions across the plasma membrane during each reaction cycle. We mutated putative cation coordinating amino acids in transmembrane hairpin M5-M6 of rat Na,K-ATPase: Asp776 (Gln, Asp, Ala), Glu779 (Asp, Gln, Ala), Asp804 (Glu, Asn, Ala), and Asp808 (Glu, Asn, Ala). Electrogenic cation transport properties of these 12 mutants were analyzed in two-electrode voltage-clamp experiments on Xenopus laevis oocytes by measuring the voltage dependence of K+-stimulated stationary currents and pre-steady-state currents under electrogenic Na+/Na+ exchange conditions. Whereas mutants D804N, D804A, and D808A hardly showed any Na+/K+ pump currents, the other constructs could be classified according to the [K+] and voltage dependence of their stationary currents; mutants N776A and E779Q behaved similarly to the wild-type enzyme. Mutants E779D, E779A, D808E, and D808N had in common a decreased apparent affinity for extracellular K+. Mutants N776Q, N776D, and D804E showed large deviations from the wild-type behavior; the currents generated by mutant N776D showed weaker voltage dependence, and the current-voltage curves of mutants N776Q and D804E exhibited a negative slope. The apparent rate constants determined from transient Na+/Na+ exchange currents are rather voltage-independent and at potentials above -60 mV faster than the wild type. Thus, the characteristic voltage-dependent increase of the rate constants at hyperpolarizing potentials is almost absent in these mutants. Accordingly, dislocating the carboxamide or carboxyl group of Asn776 and Asp804, respectively, decreases the extracellular Na+ affinity.
Febrile neutropenia is a common infectious complication in children and adolescents receiving chemotherapy for cancer, requiring immediate hospitalisation and empirical antibacterial therapy. The risk for a severe infection increases with lower neutrophil counts, but other factors such as underlying malignancy, remission state or the genetic background might also impact on the risk and severity of infection. Initial antibacterial treatment as well as modification and cessation of therapy depends on clinical performance, microbiological findings and haematological recovery. Although paediatric specific guidelines have been developed in the last decade, a number of questions are still unsolved. This article gives an overview on diagnostics and management of paediatric patients presenting with febrile neutropenia, on research gaps and will speculate on future perspective.
Mutants of Anacystis R2 with different amino acid exchanges in positions 255 and/or 264 in copy I of the psbA gene, leading to different tolerances to DCMU-type herbicides, are com- pared with the respective wild type concerning pigmentation and incorporation of 35S into the D1 protein upon growth in the presence of [35S]methionine. All mutants have shade-type appearance compared to the wild type, although to different extents depending on site and mode of the amino acid exchange in the D1 protein. Except for 3 mutants, there is no correlation between shade-type appearance on one hand and resistance towards a certain inhibitor on the other hand.
Not only the molar ratio of phycocyanin (PC) to chlorophyll (Chi) is higher in all mutants compared to the respective wild type, but also the rate of synthesis of the D1 protein. On the background of different levels of total 35S incorporation within 18 min, D1 synthesis can be related to shade adaptation. Degradation of the D1 protein remains to be thoroughly studied in this context.
No reproducible differences in whole chain electron transport were observed between mutants and wild type.
A role of the Qв binding protein in the mechanism of cyanobacterial adaptation to light intensity?
(1986)
Growth of the unicellular blue-green alga Anacystis nidulans in media containing sublethal concentrations of DCMU-type inhibitors of photosynthetic electron transport in strong white light gave rise to shade type appearance in this organism, as characterized by an increased ratio of phycocyanin to chlorophyll and reduced ratios, both, of carotenoids to chlorophyll and of total chlorophyll to P700. Shade type in Anacystis was caused neither by phenolic inhibitors tested nor by those known to bind to the cytochrome b6/f-complex. Surprisingly enough, the molar ratio of phycocyanin to chlorophyll in artificially shade adapted Anacystis1 grown in strong white light in the presence of 10-6 м atrazine, was found to increase with temperature for a given light intensity and with light intensity for a given temperature.
Mutants of Anaeystis with a reduced binding capacity for DCMU-type herbicides due to an amino acid exchange in the 32 kDa Qв-binding polypeptide, also called D-1 protein, were ob- served to show shade type appearance in strong light, to respond very little to changes in light intensity and to show a reduced capability to further change their appearance to shade type by binding of competitors of Ob to the 32 kDa polypeptide.
In Anaeystis a concentration of atrazine (10-7 м), ten times lower than the one causing the highest rate of shade adaptation (10-6 м), was shown to induce an optimum in cell density, which in turn resulted in an optimum in light-dependent O2 evolution. Both factors together might be responsible for the so-called greening effect observed in higher plants treated with sublethal concentrations of DCMU-type inhibitors of photosynthetic electron transport.